54%
of adults in households under $30K have home broadband, versus 94% at $100K and up (Pew Research Center, 2025)
We Measure · The TSDOH™
Framework
We Treat Technology as the Sixth Social Determinant of Health
And the AI Era Demands a New Way to Measure Readiness
The TSDOH™ Assessment Matrix is the new tool designed to measure AI readiness as a fundamental factor in community health and economic survival. Developed by Dr. Troy Nash, drawing on his graduate studies in the social determinants of health. Researchers have called digital literacy and Internet connectivity the "super social determinants of health" (Sieck et al., npj Digital Medicine, 2021). Now available to communities nationwide, at community-accessible pricing.
92M
Jobs projected to be displaced worldwide by 2030
40%
Of employers expect cuts where AI automates tasks
10.5M
People lack fixed terrestrial broadband at 100/20 Mbps (satellite not counted)
Sources: WEF Future of Jobs Report 2025; FCC 2026 Section 706 Report (June 2025 data).
Framework Origin
Dr. Troy Nash
Independently Developed
6-Domain, 132-Variable Framework
Built on Public Health Research
6 Determinants
Comprehensive Coverage
The Challenge
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The Digital Access Gap Is Becoming an AI Readiness Gap
The divide isn't only about who has internet anymore. It's about who can use AI with confidence, and who gets to share in its benefits.
92M
jobs projected to be displaced worldwide by 2030 (World Economic Forum, Future of Jobs Report 2025)
10.5M
people lack fixed terrestrial broadband at 100/20 Mbps, not counting satellite (FCC, 2026)
"Every day that passes without action is another day the gap widens. The communities that act now will thrive. Those that wait will be left behind."
Dr. Troy Nash, Creator of the TSDOH™ Assessment Matrix
The Solution
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Introducing TSDOH™
The Technological Social Determinants of Health Assessment Matrix
Academically Rigorous. Community Focused.
Technology Is Now a Health Determinant
Healthy People 2030 groups the social determinants of health into 5 domains, the non-medical factors that shape life outcomes.
Dr. Troy Nash, during his Master of Public Health studies at Brown University, identified what was missing: Technology Access and AI Readiness.
In the age of AI, digital access isn't a convenience. It's essential. Those who can't use AI tools will fall behind in healthcare access, job opportunities, education, and wealth building.
TSDOH™ adds Technology as the 6th determinant. And now you can measure it.
The 6 Social Determinants of Health
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Economic Stability
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Education Access and Quality
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Health Care Access and Quality
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Neighborhood and Built Environment
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Social and Community Context
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Technology Access and AI Readiness
The Creator
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Developed by Dr. Troy Nash
Eight degrees. One mission. No community left behind.
Dr. Troy Nash isn't your typical consultant. He grew up in Section 8 housing, was labeled "at-risk" as a child, and was told he wasn't college material. He responded by earning eight degrees from some of America's most respected institutions.
The TSDOH™ framework was sparked by his Master of Public Health studies at Brown University.
Eight Degrees Earned, a Ninth in Progress
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Master of Public Health (M.P.H.)
Brown University, School of Public Health
Where TSDOH™ was conceived
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Master of Science (M.S.) in Nonprofit Leadership
University of Pennsylvania, School of Social Policy & Practice
Currently Pursuing
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Doctor of Education (Ed.D.)
Doctor of Education (Ed.D.) Saint Louis University
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Master of Urban Planning (M.U.P.)
University of Southern California, Sol Price School of Public Policy
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Master of Business Administration (M.B.A.)
University of Missouri-Kansas City, Henry W. Bloch School of Management
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Juris Doctor (J.D.)
University of Missouri-Kansas City, School of Law
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Master of Arts in Economics (M.A.)
University of Missouri-Kansas City, College of Arts and Sciences
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Master of Arts in Political Science (M.A.)
University of Missouri-Kansas City, College of Arts and Sciences
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Bachelor of Science in Economics (B.S.)
Wesley College, Dover, Delaware
Earned while serving on active duty, United States Air Force
The Difference
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Not Your Typical Consulting Engagement
Top-Tier Consulting Firms
- Generic frameworks borrowed from textbooks
- Consultants who study communities from afar
- One-size-fits-all recommendations
- Months-long timelines
AGI Affinity
- Scoped and quoted to your community
- Proprietary TSDOH™ Assessment Matrix
- Created by someone who lived it (Section 8 → eight degrees)
- Mission-driven: no community left behind
- Customized to your community's reality
What We Measure
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6 Determinants. 132 Variables. Complete Picture.
The TSDOH™ Assessment evaluates technology readiness across every area of life that matters.
Economic Stability
How technology impacts jobs, income, and financial management.
Education Access and Quality
How technology impacts learning and skill development.
Health Care Access and Quality
How technology impacts health management and care.
Neighborhood and Built Environment
Physical infrastructure supporting digital access.
Social and Community Context
Social factors affecting technology adoption.
Technology Access and AI Readiness
The 6th determinant: direct measurement of AI readiness.
Your Deliverables
What You'll Receive
Every assessment engagement is designed to deliver a complete intelligence package your leadership team can act on immediately.
Comprehensive Assessment Report
Analysis with domain by domain scoring, demographic breakdowns, statistical analysis, and community readiness classification across all 6 TSDOH™ determinants.
Interactive Heat Maps
Custom built interactive visualizations showing readiness gaps by geography, demographics, and domain. Embeddable in grant applications and board presentations.
Ranked Priority Needs
Your community's needs ranked by severity, feasibility, gaps between groups and what residents say matters, with a short next-steps brief. The full implementation plan is the TSDOH™ Strategic Playbook, a separate engagement.
Executive Presentation Deck
Board ready slide deck summarizing key findings, readiness scores, and recommended next steps. Designed for leadership briefings, funder meetings, and stakeholder presentations.
Regional Benchmark Comparison (coming soon)
See how your community's technology readiness compares across demographics, income levels, and national indicators. Contextualize your results against emerging AI readiness baselines.
Strategic Consultation
Live walkthrough of all findings with Dr. Nash and the AGI Affinity team. Q&A session to align your organization's next steps with assessment insights.
Who This Is For
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Organizations Ready to Act
If you serve communities, understanding their digital readiness is the first step to helping them benefit from AI.
Public Sector
City, county, and state agencies seeking to understand and address digital readiness gaps in their communities.
City councils, economic development offices, housing authorities, K-12 districts, community colleges, workforce boards
Private Sector
Amplify your CSR investments, enhance workforce readiness, and lead your industry into an AI future that works for every community.
Businesses investing in workforce and community
Health Systems
Hospitals, clinics, and health systems recognizing technology access as a social determinant of health outcomes.
Hospital systems, FQHCs, health departments, insurers
Nonprofits and Community Organizations
Nonprofits, faith-based organizations, and community groups serving low-income households, older adults, veterans, people with disabilities, rural residents, and other covered populations.
Churches, community centers, social service agencies, affordable housing developers, CDFIs, CDCs
Foundations
Philanthropic organizations looking for high-impact investments in digital opportunity and community transformation.
Community foundations, family foundations, corporate giving
Responsible AI
Your Community's Data, Handled With Care
Communities should be able to trust the tools and the data that shape their future. These commitments come straight from our Privacy Policy.
We Do Not Sell Personal Information
AGI Affinity does not sell your personal information.
Anonymized Assessment Data
Individual TSDOH™ assessment responses are anonymized and aggregated for reporting.
No Individual Identification
Data shared with sponsors and partners is aggregated and anonymized, so it cannot identify individuals.
Your Rights
You can request access to, correction of, or deletion of your personal information.
How It Works
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From Assessment to Action
A clear, structured process designed to deliver actionable insights your organization can use immediately.
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Deploy Assessment
We build your 132-variable community profile from public data and deploy the 36-question resident survey to your community.
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Collect Data
Responses are collected securely and anonymously, measuring readiness across all 6 determinants.
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Analyze & Report
We deliver a comprehensive report with scores, gaps, comparisons, and visualizations.
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Priorities and Next Steps
Receive your ranked priority needs and a next-steps brief. Implementation planning is available as a separate engagement.
PACKAGES
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Assessment packages
Every assessment is scoped to your community and quoted after a short discovery call.
Up to 500 participants
Quote on request
- Full TSDOH™ Assessment for up to 500 participants
- Comprehensive report and heat maps
- Ranked priority needs and a next-steps brief
- Executive presentation deck
- 1 hour strategic consultation
- 90 day follow up
Up to 2,500 participants
Quote on request
- Everything in the 500-participant assessment
- Up to 2,500 participants
- Multi neighborhood and multi department comparisons
- Policy recommendation brief
- Stakeholder presentation deck
- Live online executive presentation
More than 2,500 participants
Quoted
For your scope
- Scope, sampling strategy and deliverables set with you
Sponsored assessment
Sponsor-funded
For qualifying community organizations
- Funded through the Community Assessment Fund
- Eligibility: tax status, budget or income threshold, mission, and location
Payment: 50% deposit and 50% on delivery, three equal payments over the engagement, or Net 30 or Net 60 terms for government and institutional clients.
Individual checks are always free. Take the free AI readiness check.
DATA POLICY
How we handle assessment data
Our assessment practices follow the principles of the Code of Professional Ethics and Practices of the American Association for Public Opinion Research (AAPOR).
- Participation is voluntary. Participants may skip any question or stop at any time.
- We tell participants who is conducting the assessment and why. An assessment is never used as a sales pitch or fundraising appeal.
- Names and contact details are kept separate from answers, access to them is limited, and they are deleted when no longer needed.
- We report results in aggregate and never release information that could identify a participant, alone or combined with other data, without that person’s permission.
- Your organization’s findings are confidential to you unless you authorize their release.
- We never sell participant data.
- With your written permission, de-identified results may be combined with other communities’ results to build comparisons.
- When findings are published, we disclose how the assessment was conducted.
- Taking part is made as easy as we can make it: we provide paper and assisted options, in person or by phone, on request.
Community Assessment Fund
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Ensuring No Community Gets Left Behind
Sponsor-Funded Assessments
We believe cost should never prevent a community from understanding its digital readiness. That's why we created the Community Assessment Fund, a sponsor-supported program that funds TSDOH™ assessments for qualifying organizations when a sponsor pays the fee.
Qualifying Community Organization Criteria
Organizations must meet ALL THREE requirements:
- Tax Status Must be one of the following: 501(c)(3) nonprofit organization 501(c)(4) social welfare organization Faith-based organization Public housing resident council
- Budget Threshold Must meet one of these criteria: Annual operating budget under $1,000,000 OR serving a community where 50%+ of residents are below 80% Area Median Income
- Mission Alignment Primarily serves one or more: Low-to-moderate income families Public housing residents Rural communities Seniors on fixed income Immigrant/refugee communities Youth in under-resourced schools
PLUS at least one geographic criterion:
Located in HUD Qualified Census Tract • USDA Rural Development eligible area • Designated Opportunity Zone • Community with poverty rate above 20% • Area with broadband access below 70%
Become a Sponsor
Corporations, foundations, and government agencies can contribute to the Community Assessment Fund to ensure the communities that need it most have access to the TSDOH™ Assessment.
Community Champion
Sponsors 1 community assessment
Regional Partner
Sponsors 5 community assessments
Transformation Leader
Sponsors 20 or more community assessments
Sponsors Receive
- Impact reports showing communities served
- Recognition on AGI Affinity website
- Aggregated insights on regional readiness
Rigorous Assessment, Accessible Pricing
A rigorous methodology, made accessible to the communities that need it most. But the AI readiness gap widens every day. The organizations that act now will thrive. Those that wait will spend years playing catch-up.
Ready to Know Where You Stand?
Whether you're a small nonprofit seeking a sponsored assessment or a state agency planning a major deployment, we have a path for you.
Questions? Let's talk.
Email: info@agiaffinity.com
Phone: (816) 213-4461
Apply for Sponsored Assessment → Sponsor-Funded for Qualifying Organizations
Apply for a Sponsored Assessment
Eligible community organizations can receive a full TSDOH™ Assessment Matrix through our sponsor-funded program when a sponsor funds it. Complete the application below to see if your organization qualifies and whether sponsored funding is available.
What's Included
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Your Sponsored Assessment Package
Everything you need to understand your community's technology readiness, funded by a sponsor.
Full TSDOH™ Assessment Matrix
Complete 36-question assessment across all six domains of technological social determinants of health.
Up to 500 Participants
Administer the assessment to up to 500 community members, clients, or stakeholders.
Community Summary Report
Aggregated findings showing your community's overall technology readiness profile.
Domain-by-Domain Breakdown
Detailed analysis of each TSDOH™ domain: Economic Stability, Education Access and Quality, Health Care Access and Quality, Neighborhood and Built Environment, Social and Community Context, and Technology Access and AI Readiness.
Basic Action Recommendations
Prioritized suggestions for addressing identified gaps and building community capacity.
Digital Delivery
All reports delivered electronically in accessible PDF format with interactive elements.
Qualifying Criteria
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Who Qualifies for Sponsorship
To qualify for a sponsored assessment, your organization must meet all three of the following requirements:
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Requirement One
Tax Status
- 501(c)(3) Nonprofit
- 501(c)(4) Social Welfare Organization
- Faith-Based Organization
- Public Housing Resident Council
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Requirement Two
Budget / Community
- Annual operating budget under $1 million
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- Serve community with 50%+ below 80% AMI
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Requirement Three
Mission Alignment
- Low-to-moderate income families
- Public housing residents
- Rural communities
- Seniors on fixed income
- Immigrant/refugee communities
- Youth in under-resourced schools
Geographic Requirement
Must also meet at least ONE of the following:
- Located in HUD Qualified Census Tract
- USDA Rural Development eligible area
- Designated Opportunity Zone
- Community with poverty rate above 20%
- Area with broadband access below 70%
Application
Submit Your Application
Complete all required fields below. We respond within 2 business days.
All fields marked with * are required. If you have questions about eligibility, contact us before applying.
Questions About Eligibility?
We're happy to help you determine if your organization qualifies for a sponsored assessment.
info@agiaffinity.com →Know where your community stands.
The TSDOH™ Assessment gives you community-level data on digital readiness.